I could see using LPN’s instead of doctors for 90% of visits. It’d lower costs by quite a bit. Also, most doctor visits are from a handful of routine issues. Since it takes forever to get a doctor appointment, many people go to urgent car or ER instead of a primary care doctor. Having low cost clinics to efficiently handle that volume at a low cost would have a huge impact to overall costs.
Also, it’d be amazing to see an insurance program that rewards people for getting healthier. Imagine if there was an incentive for people to get off of cholesterol or blood pressure meds. If we could get people to not smoke and have healthy BMI, cholesterol, and blood pressure, then we’d see dramatically lower rates of chronic disease which is where most healthcare spending is. We need a serious campaign on preventing chronic illness.
There is work on the admin side too. Everything from scheduling to bill payment to medical records. In today’s world, my phone should store my medical records in the cloud. Then I put a QR code on my phone screen that a doctor can scan and see all of my medical records. That’d be pretty easy to do.